Gonorrhoea

Question 1

What is the causative organism?

Answer 1

Neisseria Gonorrhoea

Question 2

What type of sex transfers gonnorrhoea?

Answer 2

Oral
Vaginal
Anal

Question 3

How can neonates be infected?

Answer 3

Exposure at birth

Question 4

What are risk factors of gonorrhoea?

Answer 4

15 -24 y/o

Black

Multiple sex partners

Question 5

Male specific symptoms of gonorrhoea?

Answer 5

Urethritis

Urethral discharge

Question 6

How many men are asymptomatic?

Answer 6

10%

Question 7

What type of discharge is seen from the urethra in men?

Answer 7

Thick yellow

Question 8

What percentage of women are asymptomatic?

Answer 8

50%

Question 9

What are female specific symptoms?

Answer 9

Vaginal discharge - white
Dysuria
Pelvic pain

Question 10

Investigations for genital gonnorhoea?

Answer 10

Triple swab

- NAATs

Question 11

What investigations should be done for non genital site gonnorhoea?

Answer 11

Culture

Question 12

What other tests should be done?

Answer 12

HIV + syphilis test

- Need to be ruled out

Question 13

Pharmacological management?

Answer 13

Ceftriaxone IM

Azithromycin

Question 14

What should be given with ceftriaxone and why?

Answer 14

Metronidazole

- C diff infection

Question 15

What should be done after treatment?

Answer 15

Follow up

Inform sexual partners

Question 16

Two parts of gonorrhoea follow up?

Answer 16

Cure test
- 2 weeks

Re-infection test
- 3 months

Question 17

What are complications of gonorrhoea infection?

Answer 17

Women

• PID –> fitz-hugh curtis
• Ectopic
• Infertility

Disseminated gonococcal infection

Reiter’s syndrome

Question 18

What can exposure to gonorrhoea cause in neonates?

Answer 18

Opthalmia neonatorum

Question 19

What is reiter’s syndrome?

Answer 19

Urethritis
Conjunctivitis
Arthritis